Active NPI
Steven Vergara, D.D.S.
- Dentist
- Cottonwood, AZ
National Provider Identifier
1548418007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4299
- Practice address
- 350 S Willard St
Cottonwood, AZ 86326-4102 - Phone
- (928) 634-8610
- Fax
- (928) 634-4683
- NPI assigned
- Sep 8, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4299 | AZ | Primary |
Addresses
Primary practice location
350 S Willard St
Cottonwood, AZ 86326-4102
Mailing address
350 S Willard St
Cottonwood, AZ 86326-4102
Phone (928) 634-8610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4299 | AZ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220832000000",
"number": "1548418007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 S WILLARD ST",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863264102",
"telephone_number": "928-634-8610",
"fax_number": "928-634-4683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 S WILLARD ST",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863264102",
"telephone_number": "928-634-8610",
"fax_number": "928-634-4683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERGARA",
"first_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-08",
"last_updated": "2008-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "4299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cottonwood, AZ
- Verde Valley Orthopedics PC
- Verde Valley Sedona Advanced Imaging Diagnostics LLC
- Verde Valley Urgent Care and Occupational Medicine, PLC
- Laurie Verdier, LPC
- Brynna Scout Fullerton Vergara
- Neeraj Vij, M.D.
- Ligia Villa
- Virginia Viol, LCSW
- Michael Peter Viotti, PSYCHOLOGIST
- Vitality Health and Psychiatric Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.